Dr. Mueller is the finest physician I have ever had. I have entrusted my life in his hands for over 15 years and he is the only Doc I would empower to be my medical team leader. His judgment and diagnostic & communication abilities are impeccable, as is his medical advocacy on my behalf. He actually listens, gives me full attention, and truly cares. He is always reachable immediately; I couldn’t be happier in the concierge program, which gives me extra security and confidence and I love the instant priority, no wait appointments, as well as the value, added tests that would not normally be covered.
Ambulatory Phlebectomy is essentially a scaled down, minimally invasive, office-based version of the gold standard treatment…vein stripping. After numbing the skin and leg with local anesthetic, tiny incisions are made in the skin at several locations, and a surgical hook is used to physically hook and pull out varicose veins, which are then completely removed from the body. This is a very effective and safe technique for treating large varicose veins that are either very twisted and thus not appropriate for EVLA (the laser fiber cannot negotiate extreme bends in veins), or as a second procedure when EVLA is performed to treat the root cause diseased deeper veins but large varicose veins remain downstream. Phlebectomy can be used as a stand-alone procedure or as a procedure following EVLA or sclerotherapy. The same compression stockings and close follow-up regime are used as after the other procedures. At our NYC Laser Vein Care office, we routinely use our state of the art Transillumination devices shown above (Venoscope & Veinlite) to highlight varicose veins and mark them on the skin surface prior to the procedure, since the surface veins become invisible once the anesthetic fluid is injected.